Skin Anatomy and Lesions Overview
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Questions and Answers

What type of skin lesion is characterized by a well-circumscribed elevation of the epidermis filled with clear fluid and measures less than 1 cm in diameter?

  • Abscess
  • Papule
  • Vesicle (correct)
  • Nodule
  • Abscesses are large, fluid-filled elevations of the epidermis that are greater than 1 cm in diameter.

    False

    What is the term for a small, pus-filled elevation of the epidermis?

    Pustule

    A __________ is a larger vesicle, greater than 1 cm in diameter, that often appears as a blister.

    <p>bulla</p> Signup and view all the answers

    Match the following primary skin lesions with their definitions:

    <p>Macule = Altered skin color up to 1 cm Papule = Small solid elevation up to 1 cm Nodule = Solid elevation that extends into deeper layers Plaque = Larger flat-topped solid elevation of skin</p> Signup and view all the answers

    Which primary lesion typically represents a benign heritable condition of hyperpigmentation?

    <p>Lentigo</p> Signup and view all the answers

    Secondary lesions evolve directly from primary lesions and are more important diagnostically.

    <p>False</p> Signup and view all the answers

    What type of skin lesion might indicate an allergic reaction in animals?

    <p>Wheal</p> Signup and view all the answers

    What is a comedo?

    <p>A dilated hair follicle filled with cornified cells</p> Signup and view all the answers

    Alopecia refers to an increased amount of hair.

    <p>False</p> Signup and view all the answers

    What is hypertrichosis?

    <p>More hair than normal</p> Signup and view all the answers

    Leukoderma is characterized by __________ of skin.

    <p>decreased pigmentation</p> Signup and view all the answers

    Match the following skin conditions with their descriptions:

    <p>Alopecia = Loss of hair Epidermal collarette = Circular rim of keratin flakes Ulcer = Break in the epidermis exposing dermis Lichenification = Thickening and hardening of skin</p> Signup and view all the answers

    Which of the following factors does NOT affect melanin pigment production?

    <p>Diet</p> Signup and view all the answers

    Hyperpigmentation results from decreased production of melanin.

    <p>False</p> Signup and view all the answers

    What condition describes excessive shedding of hair?

    <p>Effluvium or defluxion</p> Signup and view all the answers

    Study Notes

    Factors Causing Skin Injury

    • External factors (Exogenous) can lead to skin injuries.
    • Internal factors (Endogenous) also contribute to skin damage.

    Skin Lesions Classification

    • Primary lesions originate from the same organ, directly arising from the underlying disease, and are crucial for diagnosis.
    • Secondary lesions evolve from primary lesions and arise through mechanisms such as self-trauma or altered keratinization, less significant for diagnosis.

    Primary Skin Lesions

    • Macule: Discolored area, ≤ 1 cm; can indicate conditions like lentigo, characterized by hyperpigmentation due to increased melanocytes.
    • Papule: Small, round solid elevation of the skin, up to 1 cm.
    • Plaque: Larger, flat-topped solid elevation of the skin.
    • Nodule: Hard elevation of skin, 1 cm, extending into deeper layers.
    • Vesicle: Well-defined elevation of the epidermis < 1 cm filled with clear fluid.
    • Bulla: Larger vesicle (blister) > 1 cm filled with fluid.
    • Tumor: Large neoplastic mass involving skin structures or subcutis.
    • Cyst: Epithelial-lined cavity with fluid or solid material.
    • Pustule: Small elevation of the epidermis filled with pus.
    • Abscess: Circumscribed accumulation of pus within epidermis or follicles.
    • Wheal: Smooth, sharply circumscribed elevation due to dermal edema, often seen in allergic reactions.

    Lesions Affecting Skin Surface

    • Scale: Accumulation of flakes or dandruff on the skin surface.
    • Crust: Dried exudate accumulation alongside blood or serum.
    • Comedo: Dilated hair follicle with cornified cells and sebaceous material; common in conditions like hyperadrenocorticism.

    Hair Abnormalities

    • Alopecia: Hair loss.
    • Hypotrichosis: Reduced hair density.
    • Atrichia: Failure to develop hair.
    • Effluvium/defluxion: Excessive hair shedding.
    • Hypertrichosis (hirsutism): Excessive hair growth, can be linked to conditions such as pituitary adenoma in horses.

    Alterations in Epidermal Pigmentation

    • Hyperpigmentation: Increased melanin production from existing melanocytes.
    • Hypopigmentation: Congenital conditions or due to lack of melanocytes or melanin production.
    • Pigmentation Incontinence: Loss of melanin from basal epidermal layer.

    Factors Influencing Melanin Production

    • Influenced by melanocyte-stimulating hormone, age, inflammation, temperature, and genetic factors.

    Secondary Skin Lesions

    • Epidermal collarette: Circular keratin flakes due to the rupture of a vesicle or pustule.
    • Ulcer: Break in epidermis exposing the underlying dermis.
    • Excoriation: Erosions or ulcers from scratching or biting.
    • Scar: Fibrous tissue replacement in damaged dermis or subcutis.
    • Fissure: Linear cleavage in thickened skin.
    • Lichenification: Thickening and hardening of skin with exaggerated markings, often seen in conditions like sarcoptic mange.

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    Description

    This quiz covers the portal of entry into the skin, the factors causing injury, and the gross morphology of skin lesions. Focus on primary and secondary lesions, their characteristics, and significance in diagnosis. Test your knowledge on these essential dermatological concepts.

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